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RCS MC-5100-07
CUI
[=]
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Off Duty and Recreational Activity Survey
We cannot assure anonymity to respondents who admit to criminal activity or provide statements that imply a threat to themselves or others.
Do NOT discuss or comment on classified, operationally sensitive, or personally identifiable information.
PURPOSE:
This survey is designed to give members of the opportunity to provide
anonymous
feedback to the commander. This process helps leadership identify concerns and highlight areas where they might best focus their efforts.
SURVEY INSTRUCTIONS:
ALL
survey items must be answered.
Once all survey items are completed, click on the Submit button at the bottom of the page.
When you have submitted the survey, a "Thank You" note will appear.
For purposes of this survey, CO refers to the senior CO in the unit; (e.g., Bn CO in a battalion). If respondents desire to address conditions at higher, adjacent, or lower levels, provide those remarks in the free text comments section.
OUR COMMITMENT TO ANONYMITY:
Responses
cannot
be tied to the respondent.
Your
responses
are anonymous.
Your responses are separated from your personal information (e.g., rank, gender, etc.) so that your CO cannot tie the two together. For example, you may be the only female, E-8 in your unit, but your CO cannot tie your responses to that information. Please call 888-603-3170 if you would like to learn how these protections are implemented.
Please select one:
Military
Civilian
7-Digit PIN:
Your grade/rank:
Cadet Candidate
C1C
C2C
C3C
C4C
E1
E2
E3
E4
E5
E6
E7
E8
E9
WO1
CWO2
CWO3
CWO4
CWO5
O1
O2
O3
O4
O5
O6
O7 to O10
No Response
Your grade/rank:
NH-I
NH-II
NH-III
NH-IV
NJ-I
NJ-II
NJ-III
NJ-IV
NJ-V
NK-I
NK-II
NK-III
GS-1 to GS-3
GS-4 to GS-8
GS-9 to GS-11
GS-12 to GS-13
GS-14 & above
WS-7 & below
WS-8 to WS-13
WS-14 & above
WG-8 & below
WG-9 to WG-11
WG-12 & above
WL-5 & below
WL-6 & above
YA-1/2/3
YB-1/2/3
YC-1/2/3
YD-1/2/3
YE-1/2/3/4
YF-1/2/3
YG-2/3
YH-1/2/3
YI-1/2/3
YJ-1/2/3/4
YK-1/2/3
YL-1/2/3/4
YM-1/2
YN-1/2/3
YP-1
Contractor
NAF
Other
No response
Your age
< 21
21 - 22
23 - 24
25 - 30
> 30
No response
Your branch of the military
I am in the USN
I am in the USMC
I am in the US Army
I am in the USAF
I am in the USCG
I am a U.S. civilian
Other
No response
Your gender
Male
Female
No response
Your current marital status
Never Been Married
Married
Separated
Divorced
Widow/Widower
No response
Have you recently returned from Unit Deployment
Within last month
1-2 months
3-6 months
Greater than 6 months
Currently deployed
Not Applicable
No response
Have you received Drinking and Driving training after return from deployment
Yes
No
Not Applicable
No response
SUPERVISION
My supervisor assists me in reducing risks associated with off-duty and recreational activities.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My supervisor honestly cares about my safety when I am off duty.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My supervisor knows which subordinates are involved in high-risk off-duty and recreational activities.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
ORGANIZATIONAL PROCESSES
My command's Off-duty and Recreational Activity Program is effective at helping me reduce personal injury.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My command periodically briefs me on off-duty and recreational activity safety risks.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Safety personnel in my command assist me in reducing risks associated with off-duty and recreational activities.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Safety standdowns are effective at helping me reduce off-duty and recreational activity mishaps/injuries.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
RESOURCES
Missing work due to an off-duty/recreational activity injury would adversely affect my command's ability to accomplish its mission.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
PRECONDITIONS
I am comfortable telling peers when they are behaving unsafely (e.g., endangering themselves or others).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
ACTS
How often do you participate in the following off-duty and recreational activities?
(
Rarely
means 1-2 times a year,
Sometimes
means 1-2 times a month,
Often
means 1-2 times a week,
Very Often
means 3 or more times a week)
Sky-diving
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Hang-gliding
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Para-sailing
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Bungee jumping
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Rock climbing
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you participate in the following off-duty and recreational activities (continued)?
Motocross/off-road motorcycles
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Motorcycle touring
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
ATV (four wheel)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Snowmobiles
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Jet skiing
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you participate in the following off-duty and recreational activities (continued)?
Scuba diving
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Swimming/Snorkeling
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Surfing
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Spending a day at the beach
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Water skiing/Wake boarding
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you participate in the following off-duty and recreational activities (continued)?
Boating
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Snow skiing
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Snow boarding
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Skate boarding
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Mountain biking (bicycle)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you participate in the following off-duty and recreational activities (continued)?
Road biking (bicycle)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Jogging/Running (under 8 miles)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Marathon running
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Hiking
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Weight lifting
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you participate in the following off-duty and recreational activities (continued)?
Boxing
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Martial arts
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Intramural sports (basketball, baseball, football)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Hunting (bow or firearm)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Yard work/mowing
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you participate in the following off-duty and recreational activities (continued)?
Home repairs/remodeling
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Woodworking/Crafts (power tools used)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Alcohol consumption during activities
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
OPEN-ENDED RESPONSE ITEMS
The three most significant high-risk off-duty and recreational activities that my
peers
perform are:
No Response
My Response Is
Characters remaining:
400
The most significant high-risk activity
I
perform off duty is:
No Response
My Response Is
Characters remaining:
400
The most significant action
I
could take to reduce the probability of an accident/injury associated with off-duty and recreational activities would be:
No Response
My Response Is
Characters remaining:
400
What other measures could my command implement to reduce off-duty and recreational activity incidents/mishaps?
No Response
My Response Is
Characters remaining:
400
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